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:〔目的〕总结结肠造口术后并发症的发病情况及探讨其防治措施。〔方法〕回顾性分析自1988年～1998年浙江省肿瘤医院654例结直肠癌行结肠造口术后其造口并发症的发病率及发病原因。〔结果〕结肠造口术后并发造口狭窄的发生率为17%,术后肠梗阻26%,造口周围皮肤炎31%,腹部切口感染57%,无造口坏死、回缩及脱垂发生。总的术后并发症的发生率为131%。其中17例肠梗阻中13例由肠粘连所致,4例由肠内疝所致。切口感染和造口周围皮肤炎常与术前肠道准备不充分,及术后护理不仔细有关。〔结论〕充分的术前肠道准备,经腹膜外隧道造口,采取平坦形造口及术后加强护理常能有效地降低造口术后并发症的发生率。
: [Objective] To summarize the incidence of colostomy complications and explore its prevention and treatment measures. [Methods] The morbidity and incidence of colostomy complications after colostomy in 654 cases of colorectal cancer from Zhejiang Cancer Hospital from 1988 to 1998 were retrospectively analyzed. 〔Results〕 The incidence of colostomy stenosis after colostomy was 17%, postoperative intestinal obstruction was 26%, dermatitis around the stoma was 31%, abdominal incision infection was 57%, no stoma necrosis, retraction, and prolapse occur. The overall incidence of postoperative complications was 131%. Of the 17 cases of intestinal obstruction, 13 were caused by intestinal adhesions and 4 were caused by intestinal fistulas. Infection of the incision and dermatitis around the stoma are often associated with inadequate preoperative bowel preparation and care related to postoperative care. [Conclusion] Adequate preoperative bowel preparation, transperitoneal tunnel stoma, adopting flat stoma and postoperative nursing can effectively reduce the incidence of postoperative complications.